FORM 1023-EZ for ORTING LACROSE CLUB

Field Data
EIN 47-2230129
Case Number EO-2017284-000257
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORTING LACROSE CLUB
Organization’s Mailing Address PO BOX 2213
City ORTING
State WA
ZIP 98360
Accounting period End 12
Primary contact name CRYSTAL WHITAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NEVA GERKE
PRESIDENT
20513 190TH AVE E
ORTING WA 98360

Officer/Director/Trustee Two

DACIA CARPENTER
VICE PRESIDENT
20204 195TH AVE E
ORTING WA 98360

Officer/Director/Trustee Three

CRYSTAL WHITAKER
TRESURER
1309 RIDDELL AVE NE
ORTING WA 98360

Officer/Director/Trustee Four

KARIE FRANKS
SECRETARY
19725 ORVILLE RD E
ORTING WA 98360

Organization’s website
Organization’s email ORTINGLACROSSECLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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